CT abdomen and pelvis with contrast at Dallas County Hospital. CPT 74177.
What Dallas County Hospital publishes for this service, straight from its standard-charges file, last updated May 29, 2026.
Outpatient / ER
$2,971cash price (self-pay)
$4,571list price
$272–$3,885range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B IA J5 | Default | $272 |
| Aetna Medicare Advantage | Default | $2,061 |
| Humana | Medicare Advantage | $2,061 |
| Medicare A IA J5 | Default | $2,061 |
| United Healthcare | Medicare Advantage | $2,103 |
| AmeriGroup Wellpoint | Default | $2,331 |
| Iowa Total Care MCD Adv (active 7/1/19) | Default | $2,331 |
| Medicaid Iowa | Default | $2,331 |
| Molina Healthcare of Iowa MCD Rep | Default | $2,331 |
| United Healthcare | Default | $3,885 |
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